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EQUIVA WELL MONITORING DATA SHEET <br /> BTS #� Site: i <br /> S ler: Date: <br /> Well I.D.: Well Diameter: 2 3 G 8 <br /> Total Well Depth: Depth to Water: <br /> Depth to Free Product: Thickness of Free Product (feet): <br /> Referenced to: Grade D.O. Meter (if regtd): YSI HACH <br /> Purge Method- Sampling Method: Bailer <br /> Bailer Waterra Disposable Bailer <br /> Disposable Bailer Peristaltic Extraction Part <br /> Middleburg Extraction Pump Dedicated Tubing <br /> Electric Submersible other Other: <br /> Sh]1 Dipmeter nMulrer Well nl ala 1multiplfsC <br /> 1" o l4 4" 065 <br /> rte! 2" 016 6° 147 <br /> (t Jals}X Gals. 3" 0.37 Otho m(H s'*t 163 <br /> I Case Volurne Specified Volumes Calculated Volume <br /> Time Temp CF) pH Cond Turbidity Gals.Removed Observations <br /> ANO <br /> A109� z- <br /> r J <br /> Did well dewater? Yes Gallons actually evacuated: 5:5;,&— <br /> Sampling Time: Sampling Date: =9 <br /> Sample Y.D.: Laboratory: Sequoia Columbia Other—I&O—_ <br /> Analyzed for: x- TPH D 0ther:AqV,,&5J_ <br /> EB I.D. (if applicable): @ r=r Duplicate I.D. (if applicable): <br /> Analyzed for: TPH-a BTEx MTBE TPHD Other <br /> D.O. (if regtd): Pre-purge: Mg/L Post-purge: Mg/L <br /> 2W. (if req'd): Pre-purge: mV Post-purge, mV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (408) 573-0555 <br />